Tracy Ann Smith PA-C

NPI 1902911449 - Physician Assistant - 363AM0700X

NPI Details
NPI 1902911449
Gender Female
Enumeration Date 08/21/2006
Last Updated 03/03/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
7901 S 12TH ST
SUITE 101
PORTAGE MI, 49024-3831, US
Phone (269) 978-0444
Fax (269) 978-0447
Business Location
7901 S 12TH ST
SUITE 101
PORTAGE MI, 49024-3831, US
Phone (269) 978-0444
Fax (269) 978-0447
Toxanomy
Taxonomy Code 363AM0700X
License State Michigan
License Number 5601003637
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According to our database, Tracy Ann Smith PA-C NPI is 1902911449, taxonomy code is 363AM0700X and license number is 5601003637, license state is located at Michigan. Tracy Ann Smith PA-C physically located at 7901 S 12th St, Portage MI, 49024-3831. NPI Number Tracy Ann Smith PA-C has the Individual type.

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1902911449 NPI number is provided on an as is basis without warranty of any kind. 1902911449 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Ann Smith PA-C are for informational purposes only.